BLAIR KAICHEN DUDDY MD
NPI 1063414761
Pediatrics in Las Vegas, NV

Q: What is Blair Duddy's NPI number?

The NPI number for Blair Duddy is 1063414761. It was assigned to this individual provider in the NPPES registry on August 11, 2005.

Q: What is Blair Duddy's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Q: When was this NPI record last updated?

The NPPES record for Blair Duddy was last updated on September 1, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since August 11, 2005PECOS Enrolled

2704 N TENAYA WAY, LAS VEGAS, NV 89128(702) 243-8500(702) 869-5347 Get Directions Write a Review

NPPES record last updated: September 1, 2016. Verified against the NPPES registry weekly; last sync: October 04, 2026.

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About Blair Kaichen Duddy Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BLAIR KAICHEN DUDDY MD (NPI 1063414761) is an individual pediatrics provider in Las Vegas, Nevada, licensed in Nevada (7316) and active in the NPI registry since August 2005. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1063414761

Entity TypeIndividualMale

Primary Taxonomy208000000X

Provider Legal NameBLAIR KAICHEN DUDDYCredential: MD

Location Address2704 N TENAYA WAYLas Vegas, NV 89128-0424

Mailing AddressPo Box 15645Las Vegas, NV 89114-5645 · (702) 579-3298 · Fax (702) 667-4689

Phone(702) 243-8500

Fax(702) 869-5347

Sole ProprietorNo

Enumeration DateAugust 11, 2005

Last NPPES UpdateSeptember 1, 2016

✔ NPI 1063414761 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians

Taxonomy Code208000000X

License✔ Licensed in NV · 7316

Definition

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

2704 N TENAYA WAY, Las Vegas, NV 89128

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Other Identifiers 4

OtherV114364NV · Ssma Medicare

Medicare PINDM279YNV

Medicaid1063414761NV

Medicare PINDM279ZNV

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Blair Kaichen Duddy Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 89128 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$88.51 typical visit price

range $57.07 – $173.24

Typical copayment $22.12 (range $14.26 – $43.31)

Most-billed visit code 99203

Established Patient

$100.60 typical visit price

range $18.27 – $140.96

Typical copayment $25.15 (range $4.56 – $35.24)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

PATRICIA MAY B. LACSINA M.D.

Family Medicine